Individual provider Active NPI

Sharath Kumar Reddy Beeram

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1710623962
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302040 Issued in MI
Practice address
38765 Mound Rd Ste 101
Sterling Heights, MI 48310-3209
Phone
(586) 554-7834
NPI assigned
May 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501302040 MI Primary

Addresses

Primary practice location

38765 Mound Rd Ste 101
Sterling Heights, MI 48310-3209

Mailing address

24730 Roosevelt CT Apt 316
Farmington Hills, MI 48335-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817002536 MI Practitioner - Physical Therapist in Private Practice 2961885330 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All-Star Physical Therapy LLC CurrentSince Aug 15, 2022 Accepting new patients
Alexandra Physical Therapy LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients

Locations

520 E 12 Mile Rd
Ste B
Madison Hts, MI 48071
Phone (248) 952-9052

38765 Mound Rd
Ste 101
Sterling Hts, MI 48310
Phone (586) 274-0750

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1710623962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24730 ROOSEVELT CT APT 316",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38765 MOUND RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103209",
            "telephone_number": "586-554-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERAM",
        "first_name": "SHARATH KUMAR REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.